Topics
Reimbursement
COVID-19 pandemic driving steep volume and revenue declines as margins suffer
Pandemic drives steep volume, revenue declines in April
Revenue Cycle Management
Hospitals begin road to recovery
Hospitals begin road to recovery
Strategic Planning
What hospitals and health systems can do to recover financially from COVID-19
COVID-19: How hospitals can recover
Capital Finance
Hospital EHR spending projected to reach $9.9B by 2024
Hospital EHR spending projected to reach $9.9B by 2024
Supply Chain
Implementing lowest unit of measure concepts to supply chain can help offset COVID-19 costs
Using LUM to offset COVID-related supply chain costs
Accounting & Financial Management
HIMSSCast: The financial toll of COVID-19 for health systems
HIMSSCast: The financial toll of COVID-19
Budgeting
A dynamic healthcare budget process may trump traditional budgeting in terms of accuracy, flexibility
Benefits of a dynamic budgeting process
Quality and Safety
AHIP recommends insurers give 90-day grace period for pre-authorized procedures
AHIP recommends 90-day grace period for pre-authorized procedures
Billing and Collections
Blue Shield of California is offering providers up to $200 million during COVID-19 crisis
Blue Shield of California offers providers $200M
Claims Processing
Humana is expediting claims processing and prior authorization during COVID-19 pandemic
Humana is expediting claims and prior authorization
Workforce
Primary care physicians pushed to breaking point as more than half report no payments
Half of PCPs report no payments, high stress
Operations
CVS digital strategies due to COVID-19 helped drive strong first quarter
CVS digital strategies due to COVID-19 helped drive strong first quarter
Medical Devices
New standards will help advance medical device connectivity
New standards will help advance medical device connectivity
Hospital/physician relations
Quality of initial training makes a big difference in EHR satisfaction, KLAS report finds
Poor EHR training brings down provider satisfaction
Construction & Facilities Management
Kaiser Permanente cancels plans for $900 million headquarters in Oakland
Kaiser Permanente cancels $900M headquarters
Compliance & Legal
Court hears oral arguments in price transparency lawsuit
Court hears oral arguments in price transparency lawsuit
Policy and Legislation
HHS distributes $500 million to tribal hospitals, clinics, and urban health centers
HHS distributes $500M to tribal hospitals
Community Benefit
Cigna, New York Life create fund for grieving families
Cigna, New York Life create fund for grieving families
Accountable Care
HIMSSCast: How COVID-19 has accelerated healthcare trends, with MoneyBall Medicine's Harry Glorikian
HIMSSCast: How COVID-19 has accelerated healthcare trends
Acute Care
Stroke evaluations drop by nearly 40% during COVID-19 pandemic
Stroke evaluations drop 40% during pandemic
Ambulatory Care
Medical schools, teaching hospitals account for 3% of US GDP, report shows
Med schools, teaching hospitals are 3% of GDP
Analytics
UnitedHealth Group, Microsoft offer employers free COVID-19 screening app
UnitedHealth Group, Microsoft offer employers free COVID-19 screening app
Business Intelligence
While the price of healthcare is growing, utilization is dropping and price variations persist, report says
HCCI: Price of healthcare is growing, utilization is dropping, price variations persist
ICD-10 & Coding
Physician practices examine risk adjustment coding in wake of federal lawsuits
Practices keeping close watch on risk adjustment coding
Meaningful Use
CMS overhauls meaningful use EHR program, renames it 'Promoting Interoperability'
CMS overhauls meaningful use as 'Promoting Interoperability'
Medicare & Medicaid
CMS sets guidance to reopening nursing homes to family and visitors
CMS sets guidance to reopening nursing homes
Patient Engagement
Most consumers have changed healthcare usage since COVID-19 pandemic, survey shows
COVID-19: Consumers changing healthcare usage
Pharmacy
HHS expands U.S.-based pharmaceutical manufacturing to get drugs to hospitals faster
HHS expands U.S-based pharmaceutical manufacturing
Population Health
With more children showing severe COVID-19 symptoms, pediatricians outline critical steps
Critical steps for children with COVID-19
Risk Management
Cybersecurity needs to be put in business terms
Cybersecurity needs to be put in business terms
Telehealth
In final rule, CMS makes telehealth more widely available in Medicare Advantage plans
CMS makes telehealth more widely available in MA plans
Mergers & Acquisitions
OptumHealth acquires post-acute care management platform naviHealth
OptumHealth acquires post-acute care management platform naviHealth
View more

ICD-10

In-depth

Prior authorization requirements have been eased during the COVID-19 pandemic, but frustrations remain

Prior authorization requirements have been eased during the COVID-19 pandemic, but frustrations remain

Providers should seek ways to automate the process as…

Few Medicare Advantage insurers use new benefit flexibility to address the social determinants of health

Few Medicare Advantage insurers use new benefit flexibility to address the social determinants of health

Plans are hampered by current CMS policy and provider…

Whitepapers

Payers: Powering the Member Experience, Why a Data Strategy Matters

Payers: Powering the Member Experience, Why a Data Strategy Matters

Healthcare payer organizations are looking to new classes of data to enhance member…

Powering the Member Experience: Why a Strong Data Strategy Matters

Powering the Member Experience: Why a Strong Data Strategy Matters

Like other savvy digital consumers, health plan members expect meaningful, flexible, and…

Latest News

April 27, 2020 | Jeff Lagasse

Prior authorization requirements have been eased during the COVID-19 pandemic, but frustrations remain

September 23, 2019 | Susan Morse

Few Medicare Advantage insurers use new benefit flexibility to address the social determinants of health

April 22, 2019 | Susan Morse

CMS proposes $887 million increase for skilled nursing facilities

April 2, 2019 | Jeff Lagasse

AMA, UnitedHealthcare team up on billing codes that address social determinants of health

October 5, 2018 | Susan Morse

Hospitals and physician groups take on risk in BPCI Advanced model

August 1, 2018 | Beth Jones Sanborn

CMS finalizes 2019 payment rules for skilled nursing facilities, inpatient rehabilitation and psychiatric facilities

March 23, 2018 | Jeff Lagasse

Why it's time for hospitals to craft a policy for handling antibiotic-resistant infections

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MostPopular

CMS issues more changes to address pandemic

CMS issues more changes to address pandemic

Hospitals furlough staff, reduce physician salaries

Hospitals furlough staff, reduce physician salaries

Kaufman Hall: U.S. hospitals are suffering

Kaufman Hall: U.S. hospitals are suffering

Optum: UnitedHealth's secret weapon

Optum: UnitedHealth's secret weapon

List: 769 hospitals fined for medical errors, infections

List: 769 hospitals fined for medical errors, infections

COVID-19: How hospitals can recover

COVID-19: How hospitals can recover

Telehealth is driving a boom in digital communications

Telehealth is driving a boom in digital communications

News

Healthcare mergers and acquisitions in 2016: Running list

Healthcare mergers and acquisitions in 2016: Running list

While 2015 was a record-breaking year in healthcare mergers and acquisitions, 2016 saw more change as organizations across the industry adjust and adapt to the evolving financial landscape.

Analyze this: Health systems, health plans get to the core of big data

Analyze this: Health systems, health plans get to the core of big data

Pamela Peele knows that people who subscribe to cooking magazines have a much higher risk of going to the emergency room. But how she knows that is a whole other story.

Once-failing hospitals say accountability, transparency key to surviving fallout from failing patient safety grades

Once-failing hospitals say accountability, transparency key to surviving fallout from failing patient safety grades

When Leapfrog released their Spring 2016 patient safety grades recently, 15 hospitals got slapped with a very public 'F' grade casting a spotlight on them that no institution wants. But with more patients weighing public hospital grades, experts, as well as a few…

Whitepapers

Clinical Quality Measures 101

Clinical Quality Measures 101

Although quality-reporting programs such as meaningful use provide incentives to help providers implement and use electronic health records (EHRs) to collect and report on clinical data, practices often need help deciding what data to collect, which measures to…

Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle

Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle

Hospital systems across the country are looking to streamline their billing and collection processes to become more efficient and better compete in their markets. The challenge many face is how to turn the data that's already flowing through financial systems into…

Credible, Defensible Estimates

Credible, Defensible Estimates

In healthcare, every interaction with the patient matters. Especially in today's environment of continuous improvement, efforts have been concentrated on coordination among providers, the patient care experience and quality outcomes - all laudable goals.